Provider Demographics
NPI:1447794912
Name:TO, HA MY (MS, AGNP-C)
Entity type:Individual
Prefix:
First Name:HA
Middle Name:MY
Last Name:TO
Suffix:
Gender:F
Credentials:MS, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1259 FM 1463 RD STE 300
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5474
Mailing Address - Country:US
Mailing Address - Phone:832-437-5544
Mailing Address - Fax:832-437-2791
Practice Address - Street 1:1259 FM 1463 RD STE 300
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5474
Practice Address - Country:US
Practice Address - Phone:832-437-5544
Practice Address - Fax:832-437-2791
Is Sole Proprietor?:No
Enumeration Date:2016-12-18
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132482363LG0600X, 363LA2200X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health